14 results
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
lower GI bleeding (LGIB ... Known potential LGIB ... ) vs Stable Patient ... #LGIB #GIBleed ... gastrointestinal #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Consult GI ± EGD Causes ... of Upper GI Bleed ... #UGIB #GIBleed ... gastrointestinal #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... enrrikke #Forrest #Classification ... #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and Classification ... HYPOVOLEMIC 16% • Bleed ... (GIB, RP bleed) ... pancreatitis), GI losses ... #Shock #Types #Classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Differential Diagnosis by Classification ... Retroperitoneal bleed ... obstruction to blood flow ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
- Anorexia GI Losses ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
acute Lower GI Bleed ... Low-risk patients ... hernodynamically stable ... #Lower #GIBleed ... #LGIB #Algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Parks Classification of Perianal Fistulas
 • Superificial (Simple) - Superficial fistula w/o crossing any sphincter or
Parks Classification ... Trans-Sphincteric (simple if low ... Fistula tract crosses ... muscle #Parks #Classification ... Crohns #diagnosis #gastroenterology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Hypovolemic Shock - Low ... RP bleed) • Hypovolemic ... EmmGeezee #Shock #Classification ... #differential #causes ... #classification